Clinical Application of Spinal Endoscopy in Lumbar Intervertebral Foramenoplasty
With the development of minimally invasive concepts in clinical practice and the continuous evolution of instruments and equipment,spinal endoscopic techniques have been replaced by visual techniques from blind-vision techniques,which have gained more and more recognition due to their small incisions,fast recovery,short hospitalization time and clinical efficacy comparable to that of open surgeries,and the indications for which are gradually broadened that widely used in the treatment of various lumbar spine diseases.Interforaminal foramenoplasty is a key step in lateral spinal endoscopic technique,which establishes a working channel through target puncture,and utilizes multilevel working trocars to form the foramenoplasty as many times as necessary under visualization,thus realizing adequate decompression of the compressed nerve root.The quality of foramenoplasty directly determines the efficacy of the surgery and the probability of complications,which affects the prognosis of the patients.In this article,we review the development of spinal endoscopy in lumbar intervertebral foramenoplasty,the development of the application of spinal endoscopy in lumbar intervertebral foramenoplasty,intervertebral foramen anatomy,the change of forming equipment,the application status,the advantages and limitations of this technology are reviewed to guide clinical treatment.